Form Rev 32 2502 - Use Tax Exemption Certificate For Vehicles Sold To Enrolled Tribal Members By Private Party

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Use Tax Exemption Certificate for Vehicles Sold to
State of Washington
Enrolled Tribal Members by Private Party
Department of Revenue
PO Box 47450
Olympia WA 98504-7450
Do Not Return This to the Department of Revenue
When a motor vehicle, trailer, snowmobile, off-road vehicle, or other such property is sold to an enrolled tribal member
and delivery is made on the enrolled tribal member’s reservation/trust land in the state of Washington, the sale is exempt
from use tax. To receive this exemption, this form must be completed. An original signed copy must be submitted to the
Department of Licensing with title application. Copies of this form should be maintained by the buyer.
Declaration of Buyer
Declaration of delivery or acquisition in Indian Country
The undersigned is:
An enrolled member of the
Tribe
An authorized representative of the Tribe or Tribal enterprise, and the vehicle described below was
delivered/acquired within Indian country, for at least partial use in Indian country
Vehicle Description:
Buyer’s name:
Buyer’s signature:
Buyer’s address:
Address of delivery: _______________________________________________________________________________
Check documentation presented:
Certificate of enrollment
Tribal membership card
Treaty Indian Fishing Identification Card
Official letter signed by Tribal official
For tax assistance, visit dor.wa.gov or call 1-800-647-7706. To inquire about the availability of this document in an
alternate format for the visually impaired, please call (360) 486-2342. Teletype (TTY) users may call 1-800-451-7985.
REV 32 2502 (10/16/08)
Print This Form
NOTE: This form cannot be saved or e-mailed. You must print it out for your files.

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